NPI | 1639736606 |
---|---|
Other Name | AMBER NOEL BAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501019943) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9666) |
Enumeration Date | 2019-05-23 |
Last Update Date | 2021-03-25 |